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使用温水胸腔灌洗对意外低温患者进行复温。

Warming of patients with accidental hypothermia using warm water pleural lavage.

作者信息

Kjaergaard Benedict, Bach Peter

机构信息

Department of Cardiothoracic Surgery, Center for Cardiovascular Research, Aalborg Hospital, University of Arhus, Skodshoej 2, DK-9530 Stoevring, Denmark.

出版信息

Resuscitation. 2006 Feb;68(2):203-7. doi: 10.1016/j.resuscitation.2005.06.019. Epub 2005 Dec 27.

DOI:10.1016/j.resuscitation.2005.06.019
PMID:16378671
Abstract

In all, five patients with accidental hypothermia below 32 degrees C are described. All were unconscious and in mortal danger, but with an intact circulation. The youngest was 11 years and the oldest 85 years of age. The two oldest patients suffered from critical hypothermia only, while the other cases were complicated by other trauma and drug poisoning. All were warmed using pleural lavage with warm saline. All were discharged to their own homes neurologically intact.

摘要

总共描述了5例体温意外低于32摄氏度的患者。所有患者均昏迷且处于生命危险中,但循环系统完好。最年轻的患者11岁,最年长的85岁。年龄最大的两名患者仅患有严重低温,而其他病例则伴有其他创伤和药物中毒。所有患者均采用温盐水胸腔灌洗进行复温。所有患者均神经功能完好地出院回家。

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Warming of patients with accidental hypothermia using warm water pleural lavage.使用温水胸腔灌洗对意外低温患者进行复温。
Resuscitation. 2006 Feb;68(2):203-7. doi: 10.1016/j.resuscitation.2005.06.019. Epub 2005 Dec 27.
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Severe accidental hypothermia with or without hemodynamic instability: rewarming without the use of extracorporeal circulation.伴有或不伴有血流动力学不稳定的严重意外低温:不使用体外循环进行复温。
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引用本文的文献

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Rewarming With Closed Thoracic Lavage Following 3-h CPR at 27°C Failed to Reestablish a Perfusing Rhythm.在27°C下进行3小时心肺复苏后,采用闭式胸腔灌洗复温未能恢复灌注节律。
Front Physiol. 2021 Sep 29;12:741241. doi: 10.3389/fphys.2021.741241. eCollection 2021.
2
Impact of rewarming rate on the mortality of patients with accidental hypothermia: analysis of data from the J-Point registry.复温速率对意外低体温患者死亡率的影响:来自 J-Point 注册研究的数据分析。
Scand J Trauma Resusc Emerg Med. 2019 Nov 26;27(1):105. doi: 10.1186/s13049-019-0684-5.
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Accidental hypothermic cardiac arrest and rapid mediastinal warming with pleural lavage: a survivor after 3.5 hours of manual CPR.
意外低温性心脏骤停与胸腔灌洗快速纵隔复温:经3.5小时徒手心肺复苏后的幸存者
BMJ Case Rep. 2017 Jul 27;2017:bcr-2017-220900. doi: 10.1136/bcr-2017-220900.